Should I get a 2nd opinion about these freckles on my lips from another dermatologist? Last time they say it's just sun spots but the bottom one in particular still keeps me Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Spot the Dot! Growths on the lips are not too common. Clinically, this was consistent with a labial melanotic macule (aka freckle on the lip). These are benign growths which can be Dental Update Malignant oral melanoma: how to spot it and how it is managed Dental Update This patient has multiple labial melanotic macules. These are essentially freckles of the lips. These most commonly involve the lower lip. This patient had involvement of both the upper and lower lips.